Provider Demographics
NPI:1518623768
Name:CLEARVIEW COUNSELING & WELLNESS SERVICES, INC
Entity Type:Organization
Organization Name:CLEARVIEW COUNSELING & WELLNESS SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MALOCHEE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-865-5073
Mailing Address - Street 1:403 AZURE CT
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7005
Mailing Address - Country:US
Mailing Address - Phone:770-865-5073
Mailing Address - Fax:
Practice Address - Street 1:316 S 9TH ST
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4159
Practice Address - Country:US
Practice Address - Phone:770-865-5073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-11
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0005857OtherLICENSE